How often are infusion sets for central venous catheters changed in Australian and New Zealand Intensive Care Units? A point prevalence survey

Matthew Anstey; Nicky Maxwell; Claire M. Rickard; Naomi E. Hammond; Serena Knowles; Forbes McGain; The George Institute for Global Health and the Australian and New Zealand Intensive Care Society Clinical Trials Group, Steering Committee members; Coordinating centre List of investigators; Site List of investigators; Shailesh Bihari; Lewis Campbell; Jennifer Holmes

doi:10.1016/j.aucc.2023.05.004

How often are infusion sets for central venous catheters changed in Australian and New Zealand Intensive Care Units? A point prevalence survey

Matthew Anstey
, Nicky Maxwell
, Claire M. Rickard
, Naomi E. Hammond
, Serena Knowles
, Forbes McGain
, The George Institute for Global Health and the Australian and New Zealand Intensive Care Society Clinical Trials Group, Steering Committee members
, Coordinating centre List of investigators
, Site List of investigators
, Shailesh Bihari
, Lewis Campbell
, Jennifer Holmes

Research output: Contribution to journal › Article › peer-review

6 Citations (Scopus)

Abstract

Background: Infusion sets (comprising the tubing, measuring burettes, fluid containers, transducers) that are connected to invasive vascular devices are changed on a regular basis in an effort to reduce bacterial colonisation and bloodstream infection. There is a balance between reducing infection and creating unnecessary waste. Current evidence suggests that for central venous catheters (CVCs), changing infusion sets at 7 days does not increase infection risks.

Objectives: The objective of this study was to describe the current unit guidelines in Australian and New Zealand intensive care units (ICUs) for changing infusion sets for CVCs.

Methods: prospective cross-sectional point prevalence study, as a part of the 2021 Australian and New Zealand Intensive Care Society Point Prevalence Program.

Participants: Australia and New Zealand (ANZ) adult ICUs and their patients on the day of the study.

Results: Data were collected from 51 ICUs across ANZ. One-third of these (16/49) ICUs had a guideline that specified a 7-day replacement period, with the rest having a more frequent replacement period.

Conclusion: Most ICUs participating in this survey had policies to change their CVC infusion tubing in 3–4 days, and recent high-level evidence supports an update to extend this to 7 days. There remains work to be done to spread this evidence to ANZ ICUs and improve environmental sustainability initiatives.

Original language	English
Pages (from-to)	495-498
Number of pages	4
Journal	Australian Critical Care
Volume	37
Issue number	3
Early online date	27 Jun 2023
DOIs	https://doi.org/10.1016/j.aucc.2023.05.004
Publication status	Published - May 2024
Externally published	Yes

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

SDG 17 Partnerships for the Goals

Keywords

Central venous catheters
Infusion sets
Intensive care
Sustainability

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10.1016/j.aucc.2023.05.004Licence: In Copyright

Cite this

Anstey, M., Maxwell, N., Rickard, C. M., Hammond, N. E., Knowles, S., McGain, F., The George Institute for Global Health and the Australian and New Zealand Intensive Care Society Clinical Trials Group, Steering Committee members, Coordinating centre List of investigators, Site List of investigators, Bihari, S., Campbell, L., & Holmes, J. (2024). How often are infusion sets for central venous catheters changed in Australian and New Zealand Intensive Care Units? A point prevalence survey. Australian Critical Care, 37(3), 495-498. https://doi.org/10.1016/j.aucc.2023.05.004

@article{5694e7bceaf74e94967281541e4f61e0,

title = "How often are infusion sets for central venous catheters changed in Australian and New Zealand Intensive Care Units? A point prevalence survey",

abstract = "Background: Infusion sets (comprising the tubing, measuring burettes, fluid containers, transducers) that are connected to invasive vascular devices are changed on a regular basis in an effort to reduce bacterial colonisation and bloodstream infection. There is a balance between reducing infection and creating unnecessary waste. Current evidence suggests that for central venous catheters (CVCs), changing infusion sets at 7 days does not increase infection risks. Objectives: The objective of this study was to describe the current unit guidelines in Australian and New Zealand intensive care units (ICUs) for changing infusion sets for CVCs. Methods: prospective cross-sectional point prevalence study, as a part of the 2021 Australian and New Zealand Intensive Care Society Point Prevalence Program. Participants: Australia and New Zealand (ANZ) adult ICUs and their patients on the day of the study. Results: Data were collected from 51 ICUs across ANZ. One-third of these (16/49) ICUs had a guideline that specified a 7-day replacement period, with the rest having a more frequent replacement period. Conclusion: Most ICUs participating in this survey had policies to change their CVC infusion tubing in 3–4 days, and recent high-level evidence supports an update to extend this to 7 days. There remains work to be done to spread this evidence to ANZ ICUs and improve environmental sustainability initiatives.",

keywords = "Central venous catheters, Infusion sets, Intensive care, Sustainability",

author = "Matthew Anstey and Nicky Maxwell and Rickard, \{Claire M.\} and Hammond, \{Naomi E.\} and Serena Knowles and Forbes McGain and \{The George Institute for Global Health and the Australian and New Zealand Intensive Care Society Clinical Trials Group, Steering Committee members\} and Amy Freeman-Sanderson and Subodh Ganu and Belinda Howe and Ed Litton and Diane Mackle and Manoj Saxena and Ian Seppelt and Miriam Towns and Elizabeth Yarad and \{Coordinating centre List of investigators\} and Annie Gao and Yang Li and John Myburgh and Conrad Nangla and Fatima Butt and \{Site List of investigators\} and Graeme Duke and Stephanie Hunter and Julie Evans and Dianne Parker and Clare Loughnan and Blessy Thomas and Eileen Gilder and Melissa Robertson and Ellie McMahon and Farisha Ali and Cowdrey, \{Keri Anne\} and Colin McArthur and Yan Chen and Catherine Simmonds and Rachael McConnochie and Caroline O'Connor and Khaled El-Khawas and Dianne Hill and Claire Cattigan and Michelle Horton and Jemma Trickey and Cameron Knott and Julie Smith and Catherine Boschert and Treena Sara and Kiran Nand and Mahesh Ramanan and Prashanti Marella and Julia Affleck and Shannon Simpson and Katrina Ellem and Toni McKenna and Mary Nourse and Kristine Leung and Tash Edmunds and Bree McDonald and Jan Mehrtens and Rosalba Cross and Helen Wong and Pawel Twardowski and Dawn France and Gabrielle Hanlon and Jonathan Barrett and Annamaria Palermo and Susan Pellicano and Ege Eroglu and Shailesh Bihari and Julia Brown and Laura Grear and Xia Jin and Craig French and Samantha Bates and Fiona Marshall and Rebecca McEldrew and James McCullough and Mandy Tallott and Maimoonbe Gough and Marek Nalos and Laura Younger and Ravi Krishnamurphy and Louise Trent and Janet How and Anne Stuart and Llesley Chadwick and Neeraj Bhadange and Steven Tyler and Kellie Sosnowski and Lynette Morrison and Joanne Sutton and Natalie Soar and David Lee and Marina Doyle and Katherine Jongebloed and Mackenzie Finnis and Jane Wilson and Tony Williams and Rima Song and Vivian Lai and Dinu Girijadevi and Hannah Habraken and Alex Browne and Jette Koelle and Charlotte McNab and Kristy Masters and Rebecca Gresham and Julie Lowrey and Christina Whitehead and Janet Liang and Meg Harward and Cassie Jones and Sandra Peake and Tricia Williams and Catherine Kurenda and Alexis Tabah and Maree Duroux and Timothy Warhurst and Megan Ratcliffe and Hamish Pollock and Stuart Baker and Ravikiran Sonawane and Stephanie O'Connor and Nerissa Brown and Kathleen Glasby and Justine Rivett and Lewis Campbell and Vera Tabuzo and Kirsty Smyth and Frances Bass and Anne O'Connor and Anton Leonard and Sharon Waterson and Jennifer Coles and Heidi Buhr and Duncan Newman and Piyaporn Boorawong and Vanessa Bregolin and Yun, \{Ji Hyun\} and Lara Rock and Anthadene Endemann and Wei Lo and Janet Ferrier and Claire Reynolds and John Santamaria and Jennifer Holmes and John Beca and Claire Sherring and Peter Garrett and Lauren Murray and Jane Brailsford and Troy Browne and Jennifer Goodson and Andrew Udy and Meredith Young and Jasmin Board and Phoebe McCracken and Martin, \{Emma Leah\} and Robert Martynoga and Amelia Butler and Kara Trask and Shaanti Olatunji and Cruz, \{Rhoze Sol\} and Cruz, \{Raulle Sol\} and Leanlove Navarra and Kirsha Delaney and Eden Lesona and Chelsea Young and Amelia Spring and April Aguilar and Paul Young and Erin Law",

year = "2024",

month = may,

doi = "10.1016/j.aucc.2023.05.004",

language = "English",

volume = "37",

pages = "495--498",

journal = "Australian Critical Care",

issn = "1036-7314",

publisher = "Elsevier Ireland Ltd",

number = "3",

}

Anstey, M, Maxwell, N, Rickard, CM, Hammond, NE, Knowles, S, McGain, F, The George Institute for Global Health and the Australian and New Zealand Intensive Care Society Clinical Trials Group, Steering Committee members, Coordinating centre List of investigators, Site List of investigators, Bihari, S, Campbell, L & Holmes, J 2024, 'How often are infusion sets for central venous catheters changed in Australian and New Zealand Intensive Care Units? A point prevalence survey', Australian Critical Care, vol. 37, no. 3, pp. 495-498. https://doi.org/10.1016/j.aucc.2023.05.004

TY - JOUR

T1 - How often are infusion sets for central venous catheters changed in Australian and New Zealand Intensive Care Units? A point prevalence survey

AU - Anstey, Matthew

AU - Maxwell, Nicky

AU - Rickard, Claire M.

AU - Hammond, Naomi E.

AU - Knowles, Serena

AU - McGain, Forbes

AU - The George Institute for Global Health and the Australian and New Zealand Intensive Care Society Clinical Trials Group, Steering Committee members

AU - Freeman-Sanderson, Amy

AU - Ganu, Subodh

AU - Howe, Belinda

AU - Litton, Ed

AU - Mackle, Diane

AU - Saxena, Manoj

AU - Seppelt, Ian

AU - Towns, Miriam

AU - Yarad, Elizabeth

AU - Coordinating centre List of investigators

AU - Gao, Annie

AU - Li, Yang

AU - Myburgh, John

AU - Nangla, Conrad

AU - Butt, Fatima

AU - Site List of investigators

AU - Duke, Graeme

AU - Hunter, Stephanie

AU - Evans, Julie

AU - Parker, Dianne

AU - Loughnan, Clare

AU - Thomas, Blessy

AU - Gilder, Eileen

AU - Robertson, Melissa

AU - McMahon, Ellie

AU - Ali, Farisha

AU - Cowdrey, Keri Anne

AU - McArthur, Colin

AU - Chen, Yan

AU - Simmonds, Catherine

AU - McConnochie, Rachael

AU - O'Connor, Caroline

AU - El-Khawas, Khaled

AU - Hill, Dianne

AU - Cattigan, Claire

AU - Horton, Michelle

AU - Trickey, Jemma

AU - Knott, Cameron

AU - Smith, Julie

AU - Boschert, Catherine

AU - Sara, Treena

AU - Nand, Kiran

AU - Ramanan, Mahesh

AU - Marella, Prashanti

AU - Affleck, Julia

AU - Simpson, Shannon

AU - Ellem, Katrina

AU - McKenna, Toni

AU - Nourse, Mary

AU - Leung, Kristine

AU - Edmunds, Tash

AU - McDonald, Bree

AU - Mehrtens, Jan

AU - Cross, Rosalba

AU - Wong, Helen

AU - Twardowski, Pawel

AU - France, Dawn

AU - Hanlon, Gabrielle

AU - Barrett, Jonathan

AU - Palermo, Annamaria

AU - Pellicano, Susan

AU - Eroglu, Ege

AU - Bihari, Shailesh

AU - Brown, Julia

AU - Grear, Laura

AU - Jin, Xia

AU - French, Craig

AU - Bates, Samantha

AU - Marshall, Fiona

AU - McEldrew, Rebecca

AU - McCullough, James

AU - Tallott, Mandy

AU - Gough, Maimoonbe

AU - Nalos, Marek

AU - Younger, Laura

AU - Krishnamurphy, Ravi

AU - Trent, Louise

AU - How, Janet

AU - Stuart, Anne

AU - Chadwick, Llesley

AU - Bhadange, Neeraj

AU - Tyler, Steven

AU - Sosnowski, Kellie

AU - Morrison, Lynette

AU - Sutton, Joanne

AU - Soar, Natalie

AU - Lee, David

AU - Doyle, Marina

AU - Jongebloed, Katherine

AU - Finnis, Mackenzie

AU - Wilson, Jane

AU - Williams, Tony

AU - Song, Rima

AU - Lai, Vivian

AU - Girijadevi, Dinu

AU - Habraken, Hannah

AU - Browne, Alex

AU - Koelle, Jette

AU - McNab, Charlotte

AU - Masters, Kristy

AU - Gresham, Rebecca

AU - Lowrey, Julie

AU - Whitehead, Christina

AU - Liang, Janet

AU - Harward, Meg

AU - Jones, Cassie

AU - Peake, Sandra

AU - Williams, Tricia

AU - Kurenda, Catherine

AU - Tabah, Alexis

AU - Duroux, Maree

AU - Warhurst, Timothy

AU - Ratcliffe, Megan

AU - Pollock, Hamish

AU - Baker, Stuart

AU - Sonawane, Ravikiran

AU - O'Connor, Stephanie

AU - Brown, Nerissa

AU - Glasby, Kathleen

AU - Rivett, Justine

AU - Campbell, Lewis

AU - Tabuzo, Vera

AU - Smyth, Kirsty

AU - Bass, Frances

AU - O'Connor, Anne

AU - Leonard, Anton

AU - Waterson, Sharon

AU - Coles, Jennifer

AU - Buhr, Heidi

AU - Newman, Duncan

AU - Boorawong, Piyaporn

AU - Bregolin, Vanessa

AU - Yun, Ji Hyun

AU - Rock, Lara

AU - Endemann, Anthadene

AU - Lo, Wei

AU - Ferrier, Janet

AU - Reynolds, Claire

AU - Santamaria, John

AU - Holmes, Jennifer

AU - Beca, John

AU - Sherring, Claire

AU - Garrett, Peter

AU - Murray, Lauren

AU - Brailsford, Jane

AU - Browne, Troy

AU - Goodson, Jennifer

AU - Udy, Andrew

AU - Young, Meredith

AU - Board, Jasmin

AU - McCracken, Phoebe

AU - Martin, Emma Leah

AU - Martynoga, Robert

AU - Butler, Amelia

AU - Trask, Kara

AU - Olatunji, Shaanti

AU - Cruz, Rhoze Sol

AU - Cruz, Raulle Sol

AU - Navarra, Leanlove

AU - Delaney, Kirsha

AU - Lesona, Eden

AU - Young, Chelsea

AU - Spring, Amelia

AU - Aguilar, April

AU - Young, Paul

AU - Law, Erin

PY - 2024/5

Y1 - 2024/5

N2 - Background: Infusion sets (comprising the tubing, measuring burettes, fluid containers, transducers) that are connected to invasive vascular devices are changed on a regular basis in an effort to reduce bacterial colonisation and bloodstream infection. There is a balance between reducing infection and creating unnecessary waste. Current evidence suggests that for central venous catheters (CVCs), changing infusion sets at 7 days does not increase infection risks. Objectives: The objective of this study was to describe the current unit guidelines in Australian and New Zealand intensive care units (ICUs) for changing infusion sets for CVCs. Methods: prospective cross-sectional point prevalence study, as a part of the 2021 Australian and New Zealand Intensive Care Society Point Prevalence Program. Participants: Australia and New Zealand (ANZ) adult ICUs and their patients on the day of the study. Results: Data were collected from 51 ICUs across ANZ. One-third of these (16/49) ICUs had a guideline that specified a 7-day replacement period, with the rest having a more frequent replacement period. Conclusion: Most ICUs participating in this survey had policies to change their CVC infusion tubing in 3–4 days, and recent high-level evidence supports an update to extend this to 7 days. There remains work to be done to spread this evidence to ANZ ICUs and improve environmental sustainability initiatives.

AB - Background: Infusion sets (comprising the tubing, measuring burettes, fluid containers, transducers) that are connected to invasive vascular devices are changed on a regular basis in an effort to reduce bacterial colonisation and bloodstream infection. There is a balance between reducing infection and creating unnecessary waste. Current evidence suggests that for central venous catheters (CVCs), changing infusion sets at 7 days does not increase infection risks. Objectives: The objective of this study was to describe the current unit guidelines in Australian and New Zealand intensive care units (ICUs) for changing infusion sets for CVCs. Methods: prospective cross-sectional point prevalence study, as a part of the 2021 Australian and New Zealand Intensive Care Society Point Prevalence Program. Participants: Australia and New Zealand (ANZ) adult ICUs and their patients on the day of the study. Results: Data were collected from 51 ICUs across ANZ. One-third of these (16/49) ICUs had a guideline that specified a 7-day replacement period, with the rest having a more frequent replacement period. Conclusion: Most ICUs participating in this survey had policies to change their CVC infusion tubing in 3–4 days, and recent high-level evidence supports an update to extend this to 7 days. There remains work to be done to spread this evidence to ANZ ICUs and improve environmental sustainability initiatives.

KW - Central venous catheters

KW - Infusion sets

KW - Intensive care

KW - Sustainability

UR - https://www.scopus.com/pages/publications/85163801041

U2 - 10.1016/j.aucc.2023.05.004

DO - 10.1016/j.aucc.2023.05.004

M3 - Article

AN - SCOPUS:85163801041

SN - 1036-7314

VL - 37

SP - 495

EP - 498

JO - Australian Critical Care

JF - Australian Critical Care

IS - 3

ER -

How often are infusion sets for central venous catheters changed in Australian and New Zealand Intensive Care Units? A point prevalence survey

Abstract

UN SDGs

Keywords

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